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DR. LYLE ARTHUR CLARK M.D.
NPI 1477572097
Psychiatry & Neurology - Psychiatry in Hannibal, MO

Active since July 18, 2006PECOS Enrolled
141 COMMUNICATION DRIVE, HANNIBAL, MO 63401(573) 795-7342(573) 248-3080 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lyle Arthur Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYLE ARTHUR CLARK M.D. (NPI 1477572097) is an individual psychiatry provider in Hannibal, Missouri, licensed in Missouri (R8E55) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477572097
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LYLE ARTHUR CLARKCredential: M.D.
Location Address141 COMMUNICATION DRIVEHannibal, MO 63401
Mailing Address900 E La Harpe StKirksville, MO 63501-4520 · (660) 665-1962 · Fax (660) 665-3989
Phone(573) 795-7342
Fax(573) 248-3080
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 4, 2014
✔ NPI 1477572097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MO · R8E55
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
141 COMMUNICATION DRIVE, Hannibal, MO 63401
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Other Identifiers 3

Medicaid208444604MO
Medicare ID-Type Unspecified137050069MO
Medicare UPINA13249MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lyle Arthur Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyle Clark's NPI number?

The NPI number for Lyle Clark is 1477572097. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Lyle Clark located?

Lyle Clark practices at 141 Communication Drive, Hannibal, MO 63401. The listed phone number is (573) 795-7342.

What is Lyle Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lyle Clark enrolled in Medicare?

Yes. Lyle Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lyle Clark was last updated on June 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.